HOUSE CALLS DIRECT PLLC (NPI# 1548875545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548875545 |
| Entity Type | Organization |
| Organization Name | HOUSE CALLS DIRECT PLLC |
| Practice Address |
415 W Gore Blvd Lawton OK 73501-3710 |
| Practice Telephone | 5802489966 |
| Mailing Telephone | 5802489966 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | MRS. MARY ANNE DERRICO (APRN/CO-OWNER) |
| Authorized Official Telephone | 5805120746 |
| Authorized Official Credential | APRN, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13631 Ne Townley Rd, Elgin, OK 735383705 | 5805120746 |
| Street Address |
415 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002916 | James Bernerd Clevering | Dentist | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2007-09-25 |
| 1972078046 | Katherine Roya Moore | Nurse Practitioner | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1578008827 | Acellerated Interventional Orthopedics | Family Medicine | 5370 Nw Cache Rd Ste 4, Lawton, OK 73505-3371 | 2016-12-22 |
| 1760838445 | Samms LLC | Family Medicine | 1222 Nw Cache Rd, Lawton, OK 73507-4036 | 2016-05-11 |
| 1164804837 | Xpress Wellness LLC | Family Medicine | 6744 Nw Cashe Road, Lawton, OK 73505 | 2015-06-18 |
| 1225416720 | Anson Lukose | Family Medicine | 5606 Sw Lee Blvd Ste 304, Lawton, OK 73505-9618 | 2015-05-15 |
| 1275911885 | Ilona Yurfeld | Family Medicine | 3201 W Gore Blvd Ste 301, Lawton, OK 73505 | 2015-05-14 |
| 1467765941 | Mayank Dave Mdpc | Family Medicine | 5606 Sw Lee Blvd Ste 202, Lawton, OK 73505-9689 | 2010-07-26 |
| 1972631067 | Daryl E. Birdwell, M.d., Inc. | Family Medicine | 4417 W Gore Blvd Ste 2, Lawton, OK 73505-5978 | 2007-03-01 |
| 1073693917 | John C Loose | Family Medicine | 3201 W Gore Blvd Ste 305, Memorial Medical Group, Lawton, OK 73505-6350 | 2006-10-16 |
| 1891718631 | Donnie S Beasley | Family Medicine | 310 White Oak Rd, Lawton, MI 49065-9705 | 2006-07-25 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.